PBL 6 session 3

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PBL 6 session 3 by Mind Map: PBL 6 session 3

1. Step 9

1.1. Review session 2

1.2. mechanism flow chart

1.3. 20 minutes

2. Step 10

2.1. Management

2.1.1. acute episodes

2.1.1.1. corticosteroids

2.1.1.1.1. IV (methylpredinsolone

2.1.1.1.2. oral ( predensone )

2.1.1.1.3. reduce the immune system attacks

2.1.1.1.4. 3-7 days course

2.1.1.1.5. acts at the endothelial cell membrane to reduce the premeability of the BBB to immune cells

2.1.1.1.6. it also reduse the total circulatry lymphocyrtes and harmful cytokines

2.1.1.2. plasmapherisis

2.1.1.2.1. help when there is no response to steroids

2.1.1.3. immuno mediolatory drugs

2.1.1.3.1. immuno globulin

2.1.1.3.2. side effects unfavorable

2.1.2. ongoing management

2.1.2.1. relapse controlling

2.1.2.1.1. interferons

2.1.2.1.2. mono clonal antibody

2.1.3. cure

2.1.3.1. there is no cure for MS

2.1.3.2. interferons are expensive and there is no clear evidence for the usage more than 2 yrs

2.1.3.3. corticosteroids have many side effects

2.2. Prevention

2.2.1. relative marriage

2.2.2. stay in low risk area below the age of 15 can reduce the chance of getting the disease

2.3. 60 minutes

3. step 11

3.1. Review and evaluate

3.2. Group members

3.3. Chairman

3.4. Scribe

3.5. Tutor

3.6. Material

3.7. 10 minutes